full

Notice of Privacy Practices
KMG Medical Group Affiliated Covered Entity

Effective: March 28, 2022
Last Updated: March 28, 2022

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice of Privacy Practices (the “Notice”) describes how KMG Medical Group MO, P.C. and the members of its Affiliated Covered Entity (collectively “we” or “our”) may use and disclose your protected health information to carry out treatment, payment or business operations and for other purposes that are permitted or required by law. This Notice also describes your rights to access and control your protected health information. We are committed to maintaining the privacy of your protected health information and to provide you with notice of our privacy practices with respect to your protected health information.
We have elected to comply the standards set forth in HIPAA. KMG Medical Group MO, P.C. is a member of the KMG Medical Group Affiliated Covered Entity (ACE), which is a group of providers under common ownership and control that operates as a single covered entity in connection with HIPAA compliance efforts. Members of the ACE share protected health information with each other for the treatment, payment, and health care operations of the ACE as permitted by HIPAA. For a complete list of the members of the KMG Medical Group ACE, please contact the KMG Medical Group Privacy Officer at privacy@thirtymadison.com or (833) 745-3377.
For purposes of this Notice, “protected health information” or “PHI” is information about you that identifies you and relates to your past, present or future physical health or condition, treatment or payment for health care services.
Social Media Account Sign On. To the extent that you choose to use a social media account application (such as Google, Facebook, or Apple) to create your online account on the Site or otherwise sign into the Site, you understand that if another person has access to your social media account, they will also have access to your account on the Site. That means that other person could access any personal information contained on the Site. It’s your decision about whether to give another person access to your social media account and whether to use that account to sign on to the Site. Also, if you use a social media account application to sign into the Site, you understand that the social media account application may send information from your social media account to Keeps.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION:
Your protected health information may be used and disclosed by our health care providers, our staff, and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to support our business operations, to obtain payment for your care, and any other use authorized or required by law.
TREATMENT:
We will use and disclose your protected health information to provide, coordinate, and manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, your protected health information may be provided to a health care provider to whom you have been referred to ensure the necessary information is accessible to diagnose or treat you.
PAYMENT:
Your protected health information may be used to bill or obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for your services, such as: making a determination regarding eligibility or coverage for insurance benefits and reviewing services provided to you for medical necessity.
HEALTH CARE OPERATIONS:
We may use or disclose your protected health information, as needed, in order to support our business activities. These activities include, but are not limited to, improving quality of care, providing information about treatment alternatives or other health-related benefits and services, supporting our computer systems, coordinating legal services, conducting audits and compliance investigations, including fraud, waste and abuse investigations.
USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION:
We may use or disclose your protected health information in other situations without your authorization: as required by law; for public health purposes; for health care oversight purposes; for abuse or neglect reporting; pursuant to Food and Drug Administration requirements; in connection with legal proceedings; for law enforcement purposes; to coroners, funeral directors and organ donation agencies; for certain research purposes; for certain criminal activities; for certain military activity and national security purposes; for workers’ compensation reporting; relating to certain inmate reporting; and other required uses and disclosures.
State law may place additional limitations on the disclosure of your protected health information. For example, some types of sensitive health information such as HIV information, genetic information, alcohol and/or substance abuse records and mental health records may be subject to additional confidentiality protections under state law. We will abide by any applicable state privacy laws when using and disclosing your protected health information.
USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION:
We will not use or disclose your protected health information for a purpose not described in this Notice unless we have your written authorization, or we are legally permitted to do so. For example, without your authorization, we will not sell your protected health information and we will not use or disclose your protected health information for marketing purposes except in limited circumstances. Your protected health information will not be used for fundraising.
If you provide us with an authorization for certain uses and disclosures of your information, you may revoke such authorization, at any time, in writing, by sending a written request to privacy@thirtymadison.com or to the mailing address listed at the end of this Notice, except to the extent that we have taken an action in reliance on the use or disclosure indicated in the authorization.
YOUR RIGHTS WITH RESPECT TO YOUR PROTECTED HEALTH INFORMATION:
You have certain rights with respect to your protected health information. These rights are listed below. You may exercise any of these rights by sending a written request to privacy@thirtymadison.com or to the mailing address listed at the end of this Notice.
You may request access to your protected health information.
You may request a restriction on the use or disclosure of your protected health/personal information. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request, except we will agree to a request to restrict a disclosure to a health plan for a payment or health care operations purpose regarding a service that has been paid in full out-of-pocket.
You may request to receive confidential communications from us by alternative means or at an alternate location. We will comply with all reasonable requests submitted in writing which specify how or where you wish to receive these communications.
You may request an amendment of your protected health information. If we deny your request for amendment, you can file a statement of disagreement with us. We may prepare a rebuttal to our statement, and we will provide you with a copy of any such rebuttal.
You may request to receive an accounting of certain disclosures of your protected health information that we have made, paper or electronic, except for certain disclosures which were pursuant to an authorization, for purposes of treatment, payment, healthcare operations (unless the information is maintained in an electronic health record); or for certain other purposes.
You may obtain a paper copy of this Notice, upon request, even if you have previously agreed to its receipt electronically.
REVISIONS TO THIS NOTICE:
We reserve the right to revise this Notice and to make the revised Notice effective for protected health information we already have about you as well as any information we receive in the future. You are entitled to a copy of the Notice currently in effect. Any significant changes to this Notice will be posted on our website.
BREACH OF HEALTH INFORMATION:
We will notify you if a reportable breach of your unsecured protected health information is discovered. Notification will be made to you no later than sixty (60) days from the breach discovery and will include a brief description of how the breach occurred, the protected health information involved and contact information for you to ask questions.
COMPLAINTS:
Complaints about this Notice or how we handle your protected health information should be directed to our HIPAA Privacy Officer. HIPAA Privacy Officer at (855) 658-8855 or help@facetcare.com or at the following address:
KMG Medical Groups Affiliated Covered Entity
27 E 28th Street
12th Floor
New York, NY 10016
Attn: HIPAA Privacy Officer
We will not retaliate against you for filing a complaint.
QUESTIONS OR COMMENTS:
If you have any questions or comments or need any further information about this Notice or our privacy practices, please contact the HIPAA Privacy Officer (contact information listed above).

abbr
Twitter

© 2022 Facet